I saw elsewhere that Drill of the Dead is supposed to work with Sacrifice runes, but it certainly isnt. Sacrificing manually nets me 13k LP, Sacrificing with the ritual nets me 1.25k LP.

It is ver 1.1.9-35

Edit: oh also, game crashes when you try to load in a blood orb to the altar manipulator. Not sure if thats a known bug, but I thought I'd tack it on the end anyway.